Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.40 / $4,590.00 / $6,915.00	Facility		$395.40	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $423.40 / $758.25	Professional		$326.73	$423.40	$758.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.20 / $522.99 / $935.47	Professional		$351.20	$522.99	$935.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.29 / $794.45 / $1,124.84	Facility		$675.29	$794.45	$1,124.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $661.00 / $2,500.00	Facility		$177.38	$661.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $534.99 / $994.93	Professional		$359.23	$534.99	$994.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.46 / $533.55 / $1,066.63	Professional		$451.46	$533.55	$1,066.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.92 / $634.73 / $759.32	Professional		$512.92	$634.73	$759.32
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.04 / $506.81 / $1,003.34	Professional		$337.04	$506.81	$1,003.34